Active NPI
Kasey Taehoon Ro, DPT
- Physical Therapist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0015976
- Practice address
- 1275 W Pueblo Blvd
Pueblo, CO 81004-3866 - Phone
- (719) 542-0589
- NPI assigned
- Jun 7, 2019
- Last updated
- Jul 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0015976 | CO | Primary |
Addresses
Primary practice location
1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14905 Bothell Everett Hwy
Mill Creek, WA 98012-5315
Phone (425) 381-9134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Physical Therapy Services of Mill Creek, LLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030
12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110
13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Apex Health And Rehab
- Physical Therapist
- Mill Creek, WA
- NPI 1033925177
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba Highline Therapy Services
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1982263570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-300-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 W PUEBLO BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043866",
"telephone_number": "719-542-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RO",
"first_name": "KASEY",
"middle_name": "TAEHOON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-07",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.